I need a stronger ER pain medication?

Rather than upping the dosage of the breakthrough med, (I would like to cut back on those, quit all together) I have heard horror stories about rapid release pain meds. I know the damage they do, and have been on them too long already, but I need a stronger ER pain med before I can cut back/quit the RR meds. I know there are lots out there,appreciate your input and what meds may have worked for you. Currently taking 30mg MS Contin 2 X daily. I'm having additional surgery after vertebrates heal. They're about half way there. I know each person has different levels of tolerance and reactions. I'm awake at 1am, 4am, 7am. with so much pain. End up in tears most nights. I'm usually a strong person, but this I can not handle! The only doctor I see is my surgeon. Is he able to prescribe any type of pain med?

Responses (3)

You are on a very low dose of morphine. Definitely try and get this dosage raised to at least 100mgs bid. Once you are at the right dosage then break thru pain is rarely needed. When you see people on a sustained release opiate and they are taking break thru every 3-4 hours then they would be complaining to their doctors that they are still in constant pain. That is why you want to get on a high sustained release so that you're not popping shit percocet of something like it every 3 hours.I always suspect abuse when someone who is taking break thru meds everyday and I don't understand why their doctors don't up the sustained release.So I doubt you should have a problem getting a raise as you want pain relief and not the high. As you know , after a couple years that high that addicts like myself craved is gone and will never return.

Anyway, I'm off subject here, you need to tell your prescribing doctor that the sustained release you are taking is kinda working but if you had a increase you think it would have a much better effect. Most people try and get more break thru which throws a red flag in the doctors face. This is the proper way to get your pain relief... Good luck... Dave

Thanks Dave. Although you're a friend (you have so many) I doubt you remember me. But you do help many people, including me. I don't even get the "high" you mention from the "shitty percocet." I don't want it, need it, I just want RELIEF from pain. I will discuss this with my surgeon on the 27th. Seems so long to wait, but really have no choice. Congrats on being a good dad again! Chris

Sorry, I wasn't taking about you I was referring to people who really aren't in pain or very little and they try and scam the doctor. What I said and I guess I didn't do a very good job was to say that you are doing this the right way by going after the E.R. opiate as they are the real pain killers. So I would assume that you are having a lot of pain. That's why I said I got off topic.There are people like you who need legit pain control and the ones that are after quick release are almost always the ones that are abusing or selling. This is were I get upset and that's why I got off topic on you. So please don';t think O was implying that you were scamming, just the opposite... Sorry for the screw up, sometimes I type to long... Dave

I know what you meant Dave, no need to apologize! It irritates me too. It's the people who ask, "Why aren't my Lortabs working anymore? I've been on them for 5 years and my doctor won't increase the dosage.? What doctor can I go to to get the pain meds I need??" I put much of the blame on the doctors too! It hurts the people who really need the help. Thanks again Dave, no harm no foul!

hi chrisi, ask your doc about kadian its ms like your on now.i was on 100mg am & 100mg pm.worked for me for about 2 Years then i went up 200mg am & 200 pm.was on that for another 2 years.but in the end nothing was working. and i was too afraid to go the methadone route. but it is the cheepest med that is strong. and u can go up till u can cut out brake through meds. and take it till u say enough.

Obviously my surgeon wanted to start me out on a low dose. But I guess it's time to ask for a higher dose. I know he will give it to me, I just wish my back would heal faster so I could get this next surgery over with!

Follow up question: After second surgery, do you think he would keep me on same meds and start weening off after the the back brace comes off (6-8 weeks)? I know I'm putting the cart before the horse, but since the surgery won't be done until the vertabrtaes are healed, recovery time should be much less. I hope!

brake through meds are just what the name implies.when your chronic meds arn't stopping your pain,you need to get it raised.the morphine your on could be raised. but you know that. so look into kadian or a higher dose of ms.kadian is very costly822.00 for 60. i know, it shocked me too the first time my pharmacist rung it up on his register. methadone cost 10-15 cents a pill for a 10 mg. best pain med u can get for the money. ask your surgeon... pete ps this suboxone is gettin to my bank account,im thinking about switching.ist just the horror stories.but im starting to come to grips.

The problem is my meds run out on the 18th. My husband's surgery was originally scheduled for the 2nd in Philly. My appointment was on the 17th, would have been back from Philly in time. Now they rescheduled his surgery for the 14th and I had to reschedule my appt. for later in the month. I can pick up my scripts the friday before we leave for Philly. But where the hell in Philly can I fill them with an Illinois Medicaid card? I'm screwed, aren't I?

go play some mortal combat that should do the trick.Since I took down every md in usa by getting xanax.you talk to me as im a piece of shit but I dont take morphine 200mg everyday,and sorry for single-handed making it near impossible to get a opiate script sorry bro

Yes he can perscribe a better and stronger med if not go to pain management,methasdone works good because once the levels in the drug peak it will last 24-36 hoursand actiq lollipops for breakthrough pain they are so strong they are perscribed in micrograms not milligrams.Everybody who used script doctors ruined oxycontin ER which is an excellent drug if taken as perscribed,not sniffed.If you are in pain tell your md how bad it is tell the md its unbearable and he might up your morphine.Nobody should live in pain but doctord do not wanna give you a strong narcotic because people were selling them and ruined it for people who need it.Good Luck and remember to tell your md your still in pain,because nobody should be in pain but I hear its hard to get a decent painkiller.

The good thing is I see one dr. only, my surgeon. He knows me and my back well and that I'm med compliant. I know he will up the dosage for me it's just the logistics of it. My meds run out, I'll have a new script (same dosage until I can see him) but will be out of state when I need to fill them. It will cost me a fortune! They will not write me a new script to fill right away unless the dosage is different. I pick them up tomorrow, I'll see what I can do...

when your on pain management you take methadone 3-4 times a day. one morning dose would not be right for p/m purposees its used to replace opiates during withdraw. but that doesn't work pain. some people get on methadone clinics if there trying to battle 2 problems at once. and if your clinic knows that is what your and your urines are clean they may split your dose half in morning and other in afternoon.

After reading ALL the above, I can just picture it! Me with my broken back, no meds, helping my husband, 3rd cervical surgery, 2 gimps trying to get back to the airport snapping on eachother. They probably won't let us on the plane! lol